Time To Go, Grampa

With "controlling costs" a primary goal of Obamacare, and half of all medical costs coming in the last six months of life, "rationed care" takes on a new meaning for us all.

London's Telegraph reported Sunday that the National Institute of Health and Clinical Excellence, known by its Orwellian acronym NICE, intends to slash by 95 percent the number of steroid injections, such as cortisone, given to people who suffer severe and chronic back pain.

"Specialists fear," said the Telegraph, "tens of thousands of people, mainly the elderly and frail, will be left to suffer excruciating levels of pain or pay as much as 500 pounds each for private treatment."

Now, twin this story with the weekend Washington Post story about Obamacare's "proposal to pay physicians who counsel elderly or terminally ill patients about what medical treatment they would prefer near the end of life and how to prepare instructions such as living wills," and there is little doubt as to what is coming.

The Post portrayed the controversy as stoked by "right-leaning radio" using explosive language like "guiding you in how to die" and government plans to "kill Granny." Yet, is not the logical purpose of paying doctors for house calls to the terminally ill, whose medical costs are killing Medicare, to suggest a pleasant and early exit from a pain-filled and costly life?

Let us suppose the NICE plan in Britain is adopted. And an 80-year-woman, living alone, with excruciating persistent back pain, is visited by a physician-counselor. What is he likely to advise? What conclusion would Grandma be led to by a doctor who sweetly explains what treatment she may still receive, what is being cut off, and what her other options might be?

What other options are there?

Examples of how to "die with dignity" are at hand.

Three weeks ago, Sir Edward Downes, the world-renowned British orchestra leader, who was going blind and deaf, and his wife of 54 years, who had terminal cancer, ended their lives at a Zurich clinic run by the assisted suicide group Dignitas. They drank a small amount of liquid and died hand in hand, their adult children by their side.

This is the way of de-Christianized Europe. For years, doctors have assisted the terminally ill in ending their lives. Indeed, it has been reported that indigent, sick and elderly patients who could not make the decision for themselves had it made for them.